Author: Various
Source: Chinese Medicinal Wines and Elixirs (2008)
Category: Formulas that Regulate Blood
Pattern: Blood stasis in the uterus
Key Symptoms: Menstrual irregularity, dysmenorrhoea, incomplete miscarriage, infertility
Ingredients
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Dang Gui
| 20g | |
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Pinyin: Dang Gui
Chinese: 當歸
Pharmaceutical: Radix Angelicae sinensis
Taxonomy: Angelica sinensis
English: Chinese Angelica Root / Tang-Kuei / Dong Quai Root |
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Tastes: Sweet, Pungent, Warm
Meridians Entered: Heart and Liver |
Actions & Indications:
- Tonifies the Blood and regulates the menses
Blood Deficiency, especially when affecting the Heart and Liver with pale, ashen complexion, lusterless nails, tinnitus, blurred vision and palpitations
Blood Deficiency associated irregular menstruation, amenorrhea and dysmenorrhea
- Invigorates and harmonizes the Blood and disperses Cold (stops pain due to Blood Stasis)
Blood Stasis causing abdominal pain and carbuncles and pain due to Blood Stasis from traumatic injury, especially when accompanied by Deficiency Cold
Postpartum menstruation
Pregnancy (use with caution)
Blood Deficiency with chronic Wind-Damp-Bi
- Moistens the Intestines and unblocks the bowels
Dry Intestines due to Blood Deficiency
- Reduces swelling, expels pus, generates flesh and alleviates pain
Sores and abscess (Chuang Yung), internally and topically
- Stops coughing and treats dyspnea
Used adjunctively for coughing
- Tonifies the Blood while suppressing Parasites
Gu Sydnrome (Fruehauf, 1998)
Chronic inflammatory disease (Fruehauf, 2015)
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Standard Dosage: 6-12g in decoction.
Cautions: It is contraindicated in cases of Damp-Heat stagnating in the Middle, Lung Heat with Phlegm Fire, and Yin deficiency with effulgent Yang because it is warm and sweet in properties. In addition, it should be used with caution in cases of loose stool because it can moisten intestines to smooth stool.
Many sources recommend using caution, avoiding or only taking under guidance of a TCM physician during pregnancy as it can cause uterine contractions. However, there are no studies supporting this and the only scientific literature seems to suggest that Z-Ligustilide has anti-spasmodic activities that alleviate dysmenorrhoea by inhibiting uterine contractions (Du et al., 2006; Dietz et al., 2016).
Caution is also advised in breast cancer patients due to its oestrogen stimulating activity. This based upon Lau et al (2005) who found it may stimulate breast cancer growth in vitro, however Yue et al, (2019) demonstrated that it is not that stimulatory in breast cancer both in vitro and in vivo through a series of tests, although they suggested it should still be used with caution in estrogen receptor-positive breast cancer. Conversely, a large population study in Taiwan by Wu et al (2014) found it reduced the subsequent risk of endometrial cancer in breast cancer survivors taking tamoxifen, especially in those of reproductive age. |
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Hong Hua
| 10g | |
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Pinyin: Hong Hua
Chinese: 红花
Pharmaceutical: Flos Carthami
English: Safflower |
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Tastes: Pungent, warm
Meridians Entered: Heart and Liver |
Actions & Indications:
- Invigorates the Blood, dispels Blood Stasis, opens the channels, unblocks menstruation and alleviates pain
Blood Stasis, especially in women for gynecological problems such as abdominal pain, amenorrhea, postpartum dizziness, retained lochia and abdominal masses
Trauma, non suppurative sores, carbuncles and dark, purplish erythema
Incomplete expression of rash of measles
Chest Bi due to Blood Stasis
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Standard Dosage: 3-10g in decoction.
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Bai Jiu
| 150ml | | |
Pinyin: Jiu
Chinese: 酒
Pharmaceutical: Alcohol
English: Rice Wine |
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Tastes: Hot, pungent, sweet, bitter, toxic
Meridians Entered: Stomach, Heart, Lung and Liver, but reaches every part of the body |
Actions & Indications:
- Nourishes and moves Blood and Qi, opens the Meridians
Taken internally or applied topically as the medium for liniments in Blood stasis, especially from trauma or Bi syndromes in the elderly
- Warms Yang and Expels Cold
All Cold syndromes including Cold Bi, Interior Cold and Yang deficiency
Often serves as the basis for longevity "elixirs" by soaking Yang tonifying herbs
- Strengthens the Shen, dispels sorrow and promotes happiness
Temporary low mood, celebration
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Standard Dosage: 10-60ml, two to three times per day. Often combined with other herbs to bring out their Blood moving or warming aspects by washing them, or adding to a decoction, or soaking herbs in alcohol to make medicinal wines.
Cautions: Caution with Damp-Heat syndromes or long term consumption in the young and middle aged.
The Materia Dietetica (Shiwu Bencao 食物本草) by Lu He 卢和 from the Ming Dynasty says that excess drinking can hurt the spirit and consume blood, damage the stomach and deplete the body fluid, produce phlegm and induce fire. |
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Subsitutions:
Bai Jiu (white alcohol) traditionally means distilled rice wine but can be substituted with any clear 40% spirit.
Preparation: Soak in 50ml of alcohol for 48 hours, then add another 100ml of alcohol and remove the dregs. Take 30ml three times a day.
Actions: Invigorates the Blood and dispels Stasis
Contraindications: Damp-Heat conditions and long term use due to the harmful effects on continuous alcohol consumption.
Notes:
The source text just calles this "Dang Gui Jiu" but since there are several by this name I have differentiated them with another main ingredient.
Research Links:
Reference Notes: (click to display)
Most formulas are found in Scheid, Bensky, Ellis & Barolet (2009): Chinese Herbal Medicine: Formulas & Strategies and Chen & Chen (2015) Chinese Herbal Formulas and Applications. Others are from translations of primary sources. It is recommended that the original material is cross-referenced for mistakes and additional information.
Substitutions have been taken from Ken Lloyd & Prof. Leung (2004): Mayway UK Substitution List or the above publications and are intended as suggestions to help navigate the tight restrictions in the UK quickly. More applicable substitutions may be appropriate in specific situations.
Individual herb information has initially been sourced from TCM Wiki and American Dragon for basic data and then updated manually with my own notes.
These pages are intended to assist clinicians and are not intended for self-diagnosis or treatment for which a qualified professional should be consulted.